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New Jersey rates for HCPCS J1620

Injection Gonadorelin Hydrochloride Per 100 Mcg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.72 / $254.82 / $440.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.69 / $176.47 / $180.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.26 / $180.30 / $297.38
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.35 / $191.35 / $191.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.30 / $180.30 / $212.61